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tobacco use in South Dakota. In 2015, nearly one in five (17.3%) high school students used e-cigarettes, while about one in ten (10.1%) of high school students smoked traditional cigarettes.[1] This toolkit provides tools and resources to help South Dakota communities, schools, and healthcare professionals who are working to address the use of e-cigarettes and other vaping products. Infographic courtesy of Truth Initiative[1] E-CIGARETTES AND OTHER VAPING PRODUCTS E-cigarettes are battery-operated devices that heat a liquid and convert it into an aerosol, which is then inhaled and delivers nicotine, flavors, and other chemicals to its user.[2] E-cigarettes go by many different names— “e-cigs”, “e-hookahs”, “mods”, “vape pens”, “vapes”, and “electronic nicotine delivery systems (ENDS)”—just to name a few. The aerosol produced by e-cigarettes almost always contains nicotine, which is the highly addictive drug found in traditional tobacco products like cigarettes, cigars, and other tobacco products. Some e-cigarettes are being marketed as containing no nicotine have still been found to contain nicotine.[3] The use of products containing nicotine poses a threat to youth, pregnant women, and unborn babies.[2] Not only is nicotine addictive, but it is also harmful to adolescent brain development, dangerous for pregnant women’s health, and toxic to developing fetuses.[3] Infographic courtesy of Truth Initiative[1] Tobacco-free spaces are a proven way to prevent youth tobacco use and protect students, faculty, and visitors from secondhand smoke. Tobacco-free school policies are one way to address increasing popularity of e-cigarettes and other vaping devices among youth. WHAT CAN YOU DO? Strengthen and review current policy. • K-12 Tobacco Prevention Toolkit – South Dakota Tobacco Control Program • Model Tobacco-Free School Policy (PDF) – Associated School Boards of South Dakota Promote health messaging throughout school. • Create Tobacco-Free Schools – American Lung Association • E-Cigarettes, “vapes”, and JUULS: What Schools Should Know (PDF) – American Lung Association • E-Cigarettes, “vapes”, and JUULS, What Teens Should Know (PDF) – American Lung Association • Addressing Student Tobacco Use in Schools: Alternative Measures (PDF) – Public Health Law Center • CTP’S Exchange Lab – Free print and digital materials, such as posters – U.S. FDA • Be Tobacco Free SD – Tobacco Free Campuses & Schools • Teachers and Parents: That USB Stick Might Be an E-Cigarette Poster (PDF) – CDC • E-Cigarettes Shaped Like USB Flash Drives: Information for Parents, Educators, and HealthCare Providers (PDF) – CDC Provide educational materials and lesson plans that address e-cigarette products. • Know the Risks: A Youth Guide to E-cigarettes (PDF) – CDC • Tobacco Industry-Sponsored Youth Prevention Program in Schools (PDF) – CDC • Tobacco Use Prevention Through Schools: Guidelines and Strategies – CDC • HECAT: Module T (Tobacco-Use Prevention Curriculum) (PDF) – CDC • The Tobacco Prevention Toolkit – Stanford Medicine • E-cigarette Prevention: Catch My breath – CATCH (Coordinated Approach to Child Health) • smokeSCREEN: A smoking Prevention Videogame – play2PREVENT • Lesson Plan: Vaping and JUULing – Twin Cities Medical Society • Taking Down Tobacco – Campaign for Tobacco-Free Kids • The Real Cost of Vaping (grades 9-12) – Scholastic and FDA • Get Smart about Tobacco: Health and Science Education Program (grades 3-7) – Scholastic Share resources for quitting tobacco. • See Quitting Resources section Issue an advisory to parents. • See Parents & Adults section SCHOOLS & EDUCATORS Addressing the Use of E-cigarettes and other Vaping Products Parents and adults don’t always have the answers and sometimes we need to help start the conversation about health topics we’re not familiar with, like e-cigarettes. Use the resources found below, if you need a little help. WHAT CAN YOU DO? Provide a smoke-free environment, including e-cigarettes. • Going Smoke-Free Matters (PDF) – CDC Educate yourself, then talk to your kids, family, and friends. • Teachers and Parents: That USB Stick Might Be an E-Cigarette